Individual provider Active NPI

Austin Joseph Murdaugh, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1255904702
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014482 Issued in GA
Practice address
229 Peachtree Hills Ave NE
Atlanta, GA 30305-4411
Phone
(423) 290-7620
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014482 GA Primary

Addresses

Primary practice location

229 Peachtree Hills Ave NE
Atlanta, GA 30305-4411

Mailing address

172 N Mill Rd
Atlanta, GA 30328-1837

Other practice location 1

555 Wills Rd
Alpharetta, GA 30009-1818
Phone (423) 290-7620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1255904702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 N MILL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PEACHTREE HILLS AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054411",
            "telephone_number": "423-290-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Wills Rd",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300091818",
            "country_code": "US",
            "telephone_number": "423-290-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURDAUGH",
        "first_name": "AUSTIN",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.